Other Essentials
HEALTH
The most common health problem for visitors is diarrhoea. It's important to drink a lot of bottled water (tap water isn't safe to drink) and to be aware of what, and where, you are eating. Choose fruits that you can peel and avoid fresh salads (or wash them yourself with purified water) and ice made from tap water. Be cautious of ice cream, cold milk and undercooked fish or meat. If you experience diarrhoea it's very important to replace lost fluids and, in the case of severe diarrhoea, lost minerals and salts (it’s a good idea to go prepared with some oral rehydration salts). If you become ill your hotel should be able to recommend a good local doctor or clinic. You may want to consider carrying an emergency treatment pack including needles and syringes.
It's important to seek medical advice at least 6 weeks before departure as some vaccinations may require more than one injection. Make sure you're up to date with vaccinations for diphtheria, tetanus and polio. Vaccinations for hepatitis A, hepatitis B and typhoid are also advisable (note that the current vaccine against cholera offers very low protection and isn't usually recommended). Consider vaccinations against rabies and Japanese B encephalitis if you're planning to stay longer than a couple of weeks. Sikkim is largely free from malaria, but it is present in neighbouring states and most other areas of India, so ask your doctor to advise on whether anti-malarial medication is needed. Mosquito bites are common, so insect repellent is essential; we recommend using one which ontains DEET.
If you're walking from village to village, make sure you have any medication you need in your hand luggage, as your main luggage will be transported ahead by porters.
TIPPING
Many staff are paid very low salaries and expect to be tipped. In hotels and restaurants, 10% is normal. In other situations, where there is no bill, a few rupees will suffice.
